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Patent ductus arteriosus and left coronary ostium stenosis: an hybrid approach

^a Cardiac Surgery Unit, ‘San Vincenzo’ Hospital, Contrada Sirina, 98039 ME Taormina, Italy
^b Pediatric Cardiology Unit, ‘San Vincenzo’ Hospital, Contrada Sirina, 98039 ME Taormina, Italy
^c Pediatric Cardiac Anesthesiology Service, ‘San Vincenzo’ Hospital, Contrada Sirina, 98039 ME Taormina, Italy

^* Corresponding author. Tel./fax: +39-0942-579249
carmignosa{at}tiscali.it

Nowadays combination of surgical procedures and interventional cardiology has been increasingly reported in literature for the treatment of coronary artery diseases. To confirm the applicability of such an approach we present a case where several approaches could be considered. A 56-year-old lady with incidental finding of patent ductus arteriosus (PDA) and concomitant left main coronary artery ostium stenosis was scheduled to have PDA trancatheter closure and surgical angioplasty of the coronary ostium. This ‘hybrid’ approach to such an unusual clinical presentation was successful and at 1 year follow-up the patient is symptoms free and no residual shunts have been detected.

Key Words: Ductus arteriosus; Coronary ostium stenosis